Upload
carlos-wright
View
215
Download
0
Tags:
Embed Size (px)
Citation preview
Insight into Hungarian HIV situation
9th Advanced HIV Course, EACS09.2011, Aix en Provence
Botond Lakatos, HU
epidemiology
EPINFO HUN,2010; UNAIDS/WHO,2009
HIV• Estimated prevalence:3000-4000 people (<0.1%)• 1985-2004: 1100 person• 2005-2010: 700 person
AIDS• 1985-2008: 573/320 • 2009: 23/9• 2010: 21/8Late presenters: ~60%
Female: 13%Children: 9Regional distribution
care
• Single-center care
• About 1100 HIV infected people appeared
• 1000 are under frequent medical control
• 600 on HAART
• Care and drugs are provided by state
• ~85% of them are supressed VL
• 74% capable to work
EPINFO HUN,2008(45), 2010(46)
• National AIDS Committee 2004-2010
• AIDS Prevention Program 2003-13
• treatSymptomaticsAsymptomatics
– CD4 > 350: CART
• tenofovir/emtricitabin, ABC/3TC, ZDV/3TC, tenofovir, ddI
• efavirenz, nevirapin, etravirin• lopinavir, fosamprenavir,
atazanavir, darunavir• maraviroc• raltegravir
prevention/treatment
case
• 26 m, 2010, no attend doctor, MSM
• cough, haemoptoe, fever, pleurodynia
• CD4: 31/μl, 441.000c/ml• CT: upper lobe cavitation • BAL: encapsulated fungi elements
• Culture, latex: Cryptococcus neoformans (R to FLU)
• CSF: neg• amphotericinB, itraconazol• CART
Thank you
and for EACS!